24D2022123 CLIA NUMBER - WALGREENS #11125

Laboratory Demographics

  • CLIA Code: 24D2022123
  • Facility Name: WALGREENS #11125
  • Facility Address: 1130 E 37TH ST
    HIBBING, MN
    ZIP 55746
  • Facility Phone: 218 262-1358
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDEN J. BERRY
  • NPI Number: 1407070675
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2022123
LAB Type Pharmacy
Facility Name WALGREENS #11125
Street 1130 E 37TH ST
City HIBBING
State MN
ZIP 55746
Phone 218 262-1358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Pharmacy
Lab Director BRENDEN J. BERRY

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This page was last updated on: 9/29/2025